Veterinary surgery : VS最新文献_第5页

Evaluation of a customized 3D-printed saw guide for tibial plateau leveling osteotomy: An ex vivo study. 评估定制的3d打印锯引导胫骨平台水平截骨:离体研究。

Veterinary surgery : VS Pub Date : 2022-05-15 DOI: 10.1111/vsu.13826

Seungeon Lee, Jinsu Kang, Namsoo Kim, S. Heo

{"title":"Evaluation of a customized 3D-printed saw guide for tibial plateau leveling osteotomy: An ex vivo study.","authors":"Seungeon Lee, Jinsu Kang, Namsoo Kim, S. Heo","doi":"10.1111/vsu.13826","DOIUrl":"https://doi.org/10.1111/vsu.13826","url":null,"abstract":"OBJECTIVE\u0000To determine whether a tibial plateau leveling osteotomy (TPLO) performed with a customized 3D-printed guide and jig is more accurate than the traditional technique using a jig alone.\u0000\u0000\u0000STUDY DESIGN\u0000In vitro study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Cadaveric canine pelvic limbs (n = 10) and 20 synthetic bone models.\u0000\u0000\u0000METHODS\u0000Tibial plateau leveling osteotomy using a jig with (n = 10) and without (n = 10) a customized 3D-printed guide were performed in bone models, and TPLO using a jig with (n = 5) and without (n = 5) a customized 3D-printed guide were performed in cadaveric limbs. Angulation of the osteotomy, angulation of the proximal jig pin, angular/torsional deformity and medial cortex damage were measured from photographs of the specimens and compared.\u0000\u0000\u0000RESULTS\u0000In the bone models, there were differences with and without the 3D guide for mean osteotomy inclination (-0.06° vs. -1.74°, P < .001), osteotomy torsion (5268 vs. 10 469 visible osteotomy pixels, P < .001), and medial cortical damage (2970 vs. 18 562 pixels, P < .001). In the cadaveric study, osteotomy inclination (-1.1° vs. 1.01°, P < .01), induced angular deformity (0.17° vs. -3.01°, P < .001) and angulation of the proximal jig pin (-0.27° vs. 0.80°, P < .001) differed between groups.\u0000\u0000\u0000CONCLUSION\u0000The 3D-printed guide during TPLO resulted in slightly more accurate osteotomies and proximal jig pin placement, and reduced medial cortex damage.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000A customized 3D-printed guide may improve intraoperative accuracy for TPLO, although the clinical significance of the small benefits is unknown.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125592537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Balloon catheter as an extraction device for caudal vena cava adrenal tumor thrombectomy in a dog: A case report. 球囊导管在犬尾腔静脉肾上腺肿瘤取栓中的应用:1例报告。

Veterinary surgery : VS Pub Date : 2022-05-12 DOI: 10.1111/vsu.13821

Kenneth M Young, B. Stanley, D. Degner

{"title":"Balloon catheter as an extraction device for caudal vena cava adrenal tumor thrombectomy in a dog: A case report.","authors":"Kenneth M Young, B. Stanley, D. Degner","doi":"10.1111/vsu.13821","DOIUrl":"https://doi.org/10.1111/vsu.13821","url":null,"abstract":"OBJECTIVE\u0000To report the use of a balloon catheter as an extraction device for a posthepatic caval thrombus in a dog with a right adrenal tumor.\u0000\u0000\u0000ANIMALS\u0000Twelve-year-old male neutered Chihuahua mix dog.\u0000\u0000\u0000STUDY DESIGN\u0000Case report METHODS: The dog presented for the evaluation of a hepatic mass. Computed tomography of thorax and abdomen was performed, and a right lateral liver lobe mass and a right adrenal mass were noted. The adrenal mass had a caval thrombus extending almost to the level of the right atrium. Traditional methods of tumor thrombectomy were unsuccessful. Extraction of the thrombus was facilitated by passing a balloon catheter through the caudal vena cavotomy until it was cranial to the thrombus, inflating the balloon and slowly withdrawing the catheter.\u0000\u0000\u0000RESULTS\u0000A malignant pheochromocytoma was diagnosed on histology. The dog had a subjectively assessed good quality of life until it was euthanized 118 days postoperatively for acute dyspnea.\u0000\u0000\u0000CONCLUSION\u0000Balloon catheter-assisted thrombectomy was successful in removing an extensive caval thrombus that was otherwise difficult to extract via conventional methods. This technique can be considered in cases with extensive tumor thrombus either as a method of choice or when other methods of thrombus extraction have failed.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128320380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What's the evidence? A review of current instruction and assessment in veterinary surgical education. 证据是什么?兽医外科教育教学与评估现状综述。

Veterinary surgery : VS Pub Date : 2022-05-11 DOI: 10.1111/vsu.13819

M. Simons, Julie A Hunt, S. Anderson

{"title":"What's the evidence? A review of current instruction and assessment in veterinary surgical education.","authors":"M. Simons, Julie A Hunt, S. Anderson","doi":"10.1111/vsu.13819","DOIUrl":"https://doi.org/10.1111/vsu.13819","url":null,"abstract":"Veterinary surgical education is improved by studying the relevant literature. The aim of this literature review was to report the theory and methods used to provide surgical education to veterinary students; to discuss the training most likely to create a competent general practitioner; and to review assessment methods for simulated and live surgeries. The literature reviewed demonstrates that new graduates are expected to perform small animal sterilization, dental extraction, onychectomy, abscess treatment, aural hematoma repair, and mass removal with little or no supervision. Students require repetitive practice to reach competence; some practice can take place in a clinical skills laboratory on models or cadavers. When training novices, distributing practice over a longer time improves retention, but months without practice causes skills to decay. Suturing skills may be taught on models at a ratio of 1 instructor per 10 students. Veterinary students require 6-10 repetitions of each small animal sterilization surgery to reach competence; however, learning curves for other surgeries have not been established. Assessment of surgical skills has been undertaken using objective structured clinical examinations (OSCEs) and observed model and live surgeries. Additional validated rubrics are needed in the field. Surgical educators are urged to continue to search for innovative ways to foster deliberate practice, assess skill, and provide feedback for students.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"5 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132891740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Ureteropyeloscopic removal of a nephrolith from a 19 year old Hanoverian gelding. 输尿管镜下切除19岁汉诺威骟马肾结石。

Veterinary surgery : VS Pub Date : 2022-05-10 DOI: 10.1111/vsu.13815

A. L. Moss, E. Acutt, Tarini Ullal, T. J. Applegate, E. Hackett

{"title":"Ureteropyeloscopic removal of a nephrolith from a 19 year old Hanoverian gelding.","authors":"A. L. Moss, E. Acutt, Tarini Ullal, T. J. Applegate, E. Hackett","doi":"10.1111/vsu.13815","DOIUrl":"https://doi.org/10.1111/vsu.13815","url":null,"abstract":"OBJECTIVE\u0000To describe the ureteropyeloscopic removal of a nephrolith in a horse.\u0000\u0000\u0000ANIMALS\u0000A 19 year old Hanoverian gelding with history of urolithiasis requiring surgical intervention.\u0000\u0000\u0000STUDY DESIGN\u0000Case report METHODS: The horse presented with signs of abdominal straining and stranguria. A proximal urethral calculus was palpable externally within the perineal urethra. Perineal urethrostomy (PU) at the location of the urethral calculi was performed to remove the urethral obstruction. Left nephrolithiasis was then treated by endoscopic retrieval, inserting the endoscope through the PU. The procedures were performed over 2 consecutive days, with the horse standing and sedated. Medical therapy included antimicrobial and anti-inflammatory treatment.\u0000\u0000\u0000RESULTS\u0000The ureteropyeloscopic removal of a nephrolith from the left renal pelvis was completed. No complications were appreciated following the procedure, and the horse was able to return to athletic activity within 2 weeks. The horse had no further clinical signs referable to urinary dysfunction 7 months later.\u0000\u0000\u0000CONCLUSION\u0000Ureteropyeloscopic removal of a nephrolith from the renal pelvis is technically feasible in the equine patient and preserves function of the affected kidney. The availability of a treatment that maintains renal function is a distinct benefit over unilateral nephrectomy, particularly when treating a condition that frequently involves both kidneys.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122830165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predicting return to racing after repair of fractures of the metacarpal/metatarsal condyles in Thoroughbred racehorses. 预测纯种马掌骨/跖骨髁骨折修复后重返赛场。

Veterinary surgery : VS Pub Date : 2022-05-08 DOI: 10.1111/vsu.13820

Natalie Young, F. Corletto, I. Wright

{"title":"Predicting return to racing after repair of fractures of the metacarpal/metatarsal condyles in Thoroughbred racehorses.","authors":"Natalie Young, F. Corletto, I. Wright","doi":"10.1111/vsu.13820","DOIUrl":"https://doi.org/10.1111/vsu.13820","url":null,"abstract":"OBJECTIVE\u0000To identify prognostic factors for return to racing after lag screw repair of condylar fractures and develop a predictive model for return to racing.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective cohort study.\u0000\u0000\u0000ANIMALS\u0000A total of 356 horses referred to a single referral hospital in the UK with a third metacarpal/metatarsal condylar fracture between January 1999 and December 2018.\u0000\u0000\u0000METHODS\u0000Age, sex, fracture site, fracture characteristics, surgery related variables and complications were retrieved from case records. Data were divided into two sets for model training and model validation. Univariable analyses were performed, and predictors were selected in a stepwise fashion for inclusion in the multivariable logistic regression model. Sensitivity and specificity were evaluated using the second dataset.\u0000\u0000\u0000RESULTS\u0000Older horses, fillies, fractures of forelimbs, complex, complete, displaced or propagating fractures and concurrent proximal sesamoid bone fracture were negatively associated with return to racing. Colts and geldings were 3 and 4 times more likely to race than fillies, respectively. Horses with hindlimb, incomplete or nonpropagating fractures were 4, 5 and 4 times more likely to race than those with a forelimb, complete or propagating fracture, respectively. Using a predicted probability cut-off threshold of 0.5, a predictive model was created within one dataset (sensitivity = 84%, specificity = 50.5%) and applied to another (sensitivity = 83.1%, specificity = 24.0%).\u0000\u0000\u0000CONCLUSION\u0000Negative prognostic factors were identified and led to a predictive model with acceptable sensitivity and specificity in the tested population.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The results provide proof of concept for the model in the reported population and justify further validation in different populations of horses.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129676992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arthroscopic removal of osteochondral fragments located within the condylar fossa of the third metacarpus/metatarsus in Thoroughbred yearlings. 关节镜下切除纯种马第三掌/跖骨髁窝内的骨软骨碎片。

Veterinary surgery : VS Pub Date : 2022-05-07 DOI: 10.1111/vsu.13824

C. K. Barton, C. Sandow, D. Rodgerson

{"title":"Arthroscopic removal of osteochondral fragments located within the condylar fossa of the third metacarpus/metatarsus in Thoroughbred yearlings.","authors":"C. K. Barton, C. Sandow, D. Rodgerson","doi":"10.1111/vsu.13824","DOIUrl":"https://doi.org/10.1111/vsu.13824","url":null,"abstract":"OBJECTIVE\u0000To describe an arthroscopic technique for the removal of osteochondral fragments located within the condylar fossa of the third metacarpal/tarsal bone.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective study.\u0000\u0000\u0000ANIMALS\u0000Thoroughbred yearlings (n = 11).\u0000\u0000\u0000METHODS\u0000Osteochondral fragments located within the condylar fossa of the third metacarpal/tarsal bone identified during presale radiographic examination were removed via arthroscopy, assisted with ultrasonography in select cases. Complete fragment removal was confirmed by intraoperative radiography.\u0000\u0000\u0000RESULTS\u0000Fragments were successfully removed using rongeurs following dissection of soft tissue attachments using a bipolar radiofrequency probe. No postoperative complications occurred.\u0000\u0000\u0000CONCLUSIONS\u0000An ipsilateral arthroscopic and instrument portal coupled with ultrasound assistance and a radiofrequency probe allowed for successful removal of fragments located within the condylar fossa of the third metacarpal/tarsal bone. The technique allowed for the removal of the unstable osteochondral fragment and associated physical debris.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The described surgical technique enables the removal of osteochondral fragments located within the condylar fossa of the third metacarpal/tarsal bone with minimal disruption to the surrounding soft tissues.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"177 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115180507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study. 短钉线数和形态对小肠功能性端到端吻合术渗漏的影响:离体研究。

Veterinary surgery : VS Pub Date : 2022-05-02 DOI: 10.1111/vsu.13818

J. Quitzan, Ameet Singh, H. Beaufrère, Tarek M Saleh

{"title":"Influence of staple line number and configuration on the leakage of small intestinal functional end-to-end stapled anastomosis: An ex vivo study.","authors":"J. Quitzan, Ameet Singh, H. Beaufrère, Tarek M Saleh","doi":"10.1111/vsu.13818","DOIUrl":"https://doi.org/10.1111/vsu.13818","url":null,"abstract":"OBJECTIVE\u0000To determine the influence of the staple line configuration on the leakage of small intestinal functional end-to-end stapled anastomosis (FEESA).\u0000\u0000\u0000STUDY DESIGN\u0000Experimental, ex vivo, randomized study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Jejunal segments (N = 72) from 10 mature, canine cadavers.\u0000\u0000\u0000METHODS\u0000Jejunal segments (10 cm) were randomly assigned to a control group (8 segments) and 4 FEESA groups (16 segments/group (8 constructs/group)), according to the number of rows of staples used in the vertical (V) and transverse lines (T), respectively: Control, 2-row V/2-row T (2V/2T), 2-row V/3-row T (2V/3T), 3-row V/2-row T (3V/2T), 3-row V/3-row T (3V/3T). Initial leak pressure (ILP), maximum intraluminal pressure (MIP), and initial leakage location (ILL) were compared.\u0000\u0000\u0000RESULTS\u0000The ILP (mean ± SD) for control segments, 2V/2T, 2V/3T, 3V/2T and 3V/3T were 321.38 ± 34.59, 32.88 ± 7.36, 50.13 ± 10.46, 34.38 ± 11.78, 69.88 ± 21.23 mmHg, respectively. All FEESAs initially leaked at lower pressures than intact segments. The only other differences detected between groups consisted of ILPs that were higher when FEESAs were closed with 3V/3T (69.88 ± 21.23 mmHg) than 2V/2T (32.88 ± 7.36, P < .001). Initial leakage occurred predominantly from the transverse staple line rather than the anastomotic crotch (P < .001).\u0000\u0000\u0000CONCLUSION\u0000Placing 3 rows of staples in the transverse line (with or without a third row in the vertical staple line) improved resistance to leakage of FEESAs in normal cadaveric specimens.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000The addition of a third row of staples in the transverse line (with or without a third row in the vertical staple line) in FEESAs should be further investigated as a strategy to reduce intestinal leakage clinically.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130821762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative computed tomographic evaluation of neonatal foals with rib fractures. 新生儿马驹肋骨骨折的术前计算机断层扫描评估。

Veterinary surgery : VS Pub Date : 2022-05-02 DOI: 10.1111/vsu.13817

K. Garrett, R. Embertson, S. Hopper, J. B. Woodie, K. McQuerry

{"title":"Preoperative computed tomographic evaluation of neonatal foals with rib fractures.","authors":"K. Garrett, R. Embertson, S. Hopper, J. B. Woodie, K. McQuerry","doi":"10.1111/vsu.13817","DOIUrl":"https://doi.org/10.1111/vsu.13817","url":null,"abstract":"OBJECTIVE\u0000To compare ultrasonographic and computed tomographic findings in neonatal foals prior to surgical repair of rib fractures as well as postoperative outcomes in foals with and without preoperative thoracic computed tomography (CT). Study design Retrospective cohort study. Sample population 43 neonatal foals undergoing surgical treatment of rib fractures between 2013 and 2021.\u0000\u0000\u0000METHODS\u0000Medical records were reviewed for age, sex, delivery method, comorbidities, presurgical anesthetic time, surgical time, number and location of fractured ribs identified with ultrasound and CT, number and location of ribs surgically repaired, survival to discharge, and post-mortem findings. Statistical analyses were performed using chi-square, Fisher's exact, and t-tests.\u0000\u0000\u0000RESULTS\u0000Twenty-two foals underwent surgical repair of rib fractures after preoperative CT from 2019-2021 (median: 4/18/20) and 21 foals were anesthetized (20 underwent repair) for surgical repair of rib fractures without preoperative CT from 2013-2020 (median: 4/9/15). Ultrasound and CT findings differed in number and location of fractured ribs in 13/17 (76%) foals (p = .049). More cranially positioned ribs were identified as fractured with CT than with ultrasonography (p = .035). Survival to discharge was improved when foals underwent CT (20/22, 91%) than when they did not (12/20, 60%, p = .019).\u0000\u0000\u0000CONCLUSION\u0000Ultrasound findings differed from CT findings in most foals. Foals evaluated with CT were more likely to survive to hospital discharge.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000When available, CT is recommended prior to surgical repair of rib fractures in neonatal foals.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"207 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122433113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Standing laparoscopy combined with a conventional inguinal approach to treat extended septic funiculitis in 12 horses. 站立式腹腔镜联合传统腹股沟入路治疗马扩张性脓毒性输尿管炎12例。

Veterinary surgery : VS Pub Date : 2022-04-18 DOI: 10.1111/vsu.13809

F. Comino, M. Röcken, D. Gorvy

{"title":"Standing laparoscopy combined with a conventional inguinal approach to treat extended septic funiculitis in 12 horses.","authors":"F. Comino, M. Röcken, D. Gorvy","doi":"10.1111/vsu.13809","DOIUrl":"https://doi.org/10.1111/vsu.13809","url":null,"abstract":"OBJECTIVE\u0000To describe a 2-step surgical procedure combining standing laparoscopy with a conventional inguinal approach to treat deep intra-abdominal funiculitis (extended septic funiculitis) after castration.\u0000\u0000\u0000STUDY DESIGN\u0000Retrospective case series.\u0000\u0000\u0000SAMPLE POPULATION\u0000Twelve client-owned horses.\u0000\u0000\u0000METHODS\u0000Medical records of horses treated for extended septic funiculitis with the 2-step surgical procedure were reviewed. Data collected included the initial castration technique, number of surgical interventions for septic funiculitis prior to presentation, clinical signs, diagnostic and surgical procedure, and short-term and long-term survival.\u0000\u0000\u0000RESULTS\u0000Complete resection of the infected spermatic cord was achieved without intraoperative complications. Intra-abdominal adhesions were documented in 6 horses, involving the ascending colon (4 cases) and descending colon (2 cases). Postoperatively, minor incisional swelling (2/12) and emphysema (3/12) at the laparoscopic portals were observed. All horses survived to discharge. At 3 months, wounds had completely healed without complications. No recurrence of signs was recorded at long-term follow up (4-36 months after discharge).\u0000\u0000\u0000CONCLUSION\u0000In cases of extended septic funiculitis, complete resection of the infected spermatic cord can be safely performed using a laparoscopic-assisted surgical approach, reducing postoperative complications and risk of recurrence of infection.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"225 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115603064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Effect of single and double hemitenotomy on equine deep digital flexor tendon length and strength in experimental load challenges. 实验负荷下单、双半切开对马指深屈肌腱长度和强度的影响。

Veterinary surgery : VS Pub Date : 2022-04-18 DOI: 10.1111/vsu.13808

S. Zetterström, L. Boone, R. Farag, W. Weimar, F. Caldwell

{"title":"Effect of single and double hemitenotomy on equine deep digital flexor tendon length and strength in experimental load challenges.","authors":"S. Zetterström, L. Boone, R. Farag, W. Weimar, F. Caldwell","doi":"10.1111/vsu.13808","DOIUrl":"https://doi.org/10.1111/vsu.13808","url":null,"abstract":"OBJECTIVE\u0000To evaluate a double hemitenotomy (DHT) technique as an alternative to complete deep digital flexor (DDFT) tenotomy.\u0000\u0000\u0000STUDY DESIGN\u0000Experimental ex vivo study.\u0000\u0000\u0000SAMPLE POPULATION\u0000Isolated DDFTs (n = 30) and cadaveric forelimbs (n = 16).\u0000\u0000\u0000METHODS\u0000In part 1, 15 isolated DDFT pairs were used. Two hemitenotomies were created in 1 DDFT while the other served as reference. Monotonic tensile load was applied. Tendon lengthening, load reduction, and load at failure were recorded. In part 2, 16 cadaveric forelimb pairs were subjected to DHT followed by complete tenotomy (CT) under monotonic compressive load. Differences between DHT and controls were assessed with Wilcoxon signed rank tests or Friedman tests.\u0000\u0000\u0000RESULTS\u0000In isolated tendons and cadaveric forelimbs, DHT resulted in DDFT lengthening (median, +1.9 mm and + 3.05 mm) and load reduction (median, -16.7 and -11.2 kg). Less lengthening was achieved with DHT compared to CT (P = .008). Load reduction did not occur between DHT and CT was observed during compressive testing (P = 1). Load reduction following the first hemitenotomy incision was smaller when compared to the second (P = .022). Isolated DHT tendons failed at a tensile load of 195 kg, while no intact tendons failed (P = .0001).\u0000\u0000\u0000CONCLUSION\u0000Double hemitenotomy was comparable to CT in load reduction. It reduced tensile strength, but load at failure was similar or exceeded the estimated DDFT load at stance.\u0000\u0000\u0000CLINICAL SIGNIFICANCE\u0000Hemitenotomy may be a useful alternative for surgical management of horses with laminitis, but in vivo studies are needed to confirm these findings.","PeriodicalId":123280,"journal":{"name":"Veterinary surgery : VS","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121128898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1